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AMERICAN VALLEY 175940 WASTE OIL, INC. Invoice Number: P.O. Box 340 a Delhi, CA 95315 PH. 1-800-732-4645 a FAX 209-668-3880 EPA#CAR000272302 BILL TO: 788�1TH8T ADE JOB SITE: 7$80 W 11TH ST A� Invoice Date: TRACY,CA 06304 TRACY.CA 95304 90 DAY OIL Al&� 0/45 Saws Rw-ArriftfiflYAlly— Phone 2MOSS2282 Customer P.O. Telwfsv EPA# O.D. caL00003e1142 PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST OUANtTIfY PRICE AMOUNT CODE NON-RCRA Waste Liquid Used Oil/Mixed Oils 221 NON-RCRA Waste Liquid Used Antifreeze 133 NON-RCRA Waste Liquid Used Oily Water 223 Compliant Drained Used Metal Oil Filters HAZ 1MASTE R CK UP-ABSORBENTS AND 01 L 21+5,oa HAZ MMSTE R CK UP-METAL SHAANG 5GPL SOAL UN PA L I`15-Do � OR 95U D6 QPzffl SALESTAX- TERMS: Invoices over 3o Days are subject to a 1.6%service charge. Customer agrees to pay all legal fess 8 mud action TOTAL becomes ra essary Wcollect this invoice. By signina l harpy cMlfy that l have not mketl are of the waste assorted above want any other noontime waste,the WWI halide consent Is LESS than l,a ppm,and Na waste new not contest any P ods.I haw compiled with Ow,equiremeMe of 1M applicants couionnla umtl oil menegemem regulation to derommee this is true.I agree to accept Ae additional charges for the dlapoeal of this worse If the inrornatlon I have provost]about this waste is incorrect Generator's Certification:By signing I ceNfy Met If I an a large quantity ganaretor,I certify that I have a pmgrem In place N reduce tiro volume and toxicity of waste penerat- ad to the degree I have determined to be economically etloroabb and that I have aelecled lite practicable method of treatment,storage,or obpoeal currently avallebla to me which minimizes the present and future threat to human life and the environment Or,If I am a small quantly genamlor.I have made a Good hath effort to minimize my winds goner do endselect the wase management method that Is avaliable to me that I con afford. American Valley Waste 011 thereby adveea the above Gewrelar that gweremre shipment d used oil may be transported to a facility that is requlred to compywth tetkrel regulations appllani to management of used oil,but that a not required to comply with the more stringent requirements applicable to hazardous warts,management fac111- tee.cesfomla fadlibee that handle or lemew used oil are datums,to meet those more sommoot requtrement,and some cut-ofcowlilie t that process used W1.1m meat throes aqulrements,englneeMg c ntifioetbns of tank Integrity,and financial evemenees for down,and accidental smaeas.X lawful to send used oil to out of state fashit" Is that comply only with federal used ell management starWaMs and not grew mere stringent owulraments. This notigugon is for Information purpcew only. By boMpartle,aigdngthb cal twill serve roe anagreemonl(he[Amerban Valley Waste 011 will submX conflmatlm fa(mrtaln waste etreams)mthe ganeretorihet their wase has even lean ant or trareferfadll ATOFV S(/� DRIVE � .- 1,a A ORQED SIGN A R OA7ErT'4 e r SIGNATURE: DATE: DISPOSAL/ RECYCLING FACILITY O DK-DIXON O ASBURY ENVIRONMENTAL O RIVERBANK OIL TRANSFERR,VUMA YES LLC �"sME6ICAN vau£y vIABTE aL,INC 7300 CHEVRON WAY 1920 MORGAN RD. 5300 CLAUS RD. 6500 US HWY 95 521 INDUSTRIAL DR STE M DIXON,CA 95820 CERES,CA 95358 RIVERBANK, CA95367 YUMA,AZ85365 UVINGSTON,CA95334 707-693.6008 209-641-1825 209-863-8181 928-3449828 209.667.8857 EPA#CAT0S0012602 EPA#CAL000306W EPA#CAL000190816 EPA#AZROW521146 EPA#CAL000443004 avec Oz+stsl